Type 2 Diabetes Decompensation as the Clinical Presentation of Thyroid Storm — Cause or Consequence?
Open Access
- 1 January 2017
- journal article
- Published by Touch Medical Media, Ltd. in touchREVIEWS in Endocrinology
- Vol. 13 (2), 99-101
- https://doi.org/10.17925/EE.2017.13.02.99
Abstract
This case study aims to discuss the unusual forms of hyperthyroidism presentation, the nonspecific symptoms and precipitating events. A 70-year-old male was taken to the emergency department for hyperglycaemia, nausea, vomiting and altered mental status with a week of evolution. He had a past medical history of type 2 diabetes, hypertension and dyslipidemia. He had no history of any recent intercurrent illness or infection. At the emergency room, besides hyperglycaemia, ketonemia and slightly elevated C-reactive protein, the basic laboratory panel workup was normal, as was the head computed tomography. He was admitted for metabolic compensation and to study the altered neurological status. During hospitalisation, despite the good glycemic control, he had no improvements in neurological status. At day four of hospitalisation, thyrotoxicosis with thyroid storm criteria was diagnosed. He started on adequate treatment with complete clinical recovery. The associated morbidity and mortality of thyroid storm requires immediate recognition and treatment. Elderly patients are frequently misdiagnosed or diagnosed later due to fewer and less pronounced signs and symptoms.Keywords
This publication has 12 references indexed in Scilit:
- HyperthyroidismThe Lancet, 2016
- Clinical presentation of hyperthyroidism in a large representative sample of outpatients in France: relationships with age, aetiology and hormonal parametersClinical Endocrinology, 2015
- Apathetic thyrotoxicosis presenting with diabetes mellitusJournal of Community Hospital Internal Medicine Perspectives, 2014
- Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide SurveysThyroid®, 2012
- Thyroid EmergenciesMedical Clinics of North America, 2012
- Thyroid storm associated with Graves' disease covered by diabetic ketoacidosis: A case reportThyroid Research, 2011
- Older Subjects with Hyperthyroidism Present with a Paucity of Symptoms and Signs: A Large Cross-Sectional StudyJournal of Clinical Endocrinology & Metabolism, 2010
- A Clinical Retrospective Analysis of Factors Associated with Apathetic HyperthyroidismPathobiology, 2010
- Life-Threatening Thyrotoxicosis: Thyroid StormEndocrinology and Metabolism Clinics of North America, 1993
- APATHETIC THYROIDISMAnnals of Surgery, 1931